Sign up for electronic payments
Get paid faster
EFT and ERA are fast, secure and more accurate than paper checks
- Electronic Funds Transfer (EFT) sends claims payments directly to your bank account
- Electronic Remittance Advice (ERA) makes it easier to access and reconcile payment information
To get started, download the ERA/EFT Authorization Form
Contracted providers get better rates
- Our fee-for-service Pay for Performance program offers bonus payments to Medi-Cal providers for meeting targeted quality measures
- Our Specialists Incentive Program pays 175% of Medi-Cal allowable rates to PCPs with certain Medi-Cal specialties
- Our CareAdvantage reimbursement rates start at 80% of the Medicare fee schedule plus 10% of the Medi-Cal fee schedule – with no annual deductibles for claim payments
HPSM is especially looking to recruit clinicians and office staff who speak Spanish, Tagalog, Mandarin and Cantonese.
Pay for Performance
HPSM's fee-for-service Pay for Performance (FFS P4P) program offers performance bonus payments to in-network Medi-Cal providers for meeting targeted quality measures. The program is designed to improve outcomes for HPSM members by sharing data with HPSM providers on care information for their assigned HPSM patients. The targeted quality performance measure set focuses on member access and preventive care services. Learn more
Claims Services
Call 650-616-2056
Monday, Tuesday, Thursday & Friday – 8:00 a.m. to 5:00 p.m. (closed 12:00 p.m. to 1:00 p.m.)
Wednesday – 8:00 a.m. to 12:00 p.m.
Email ClaimsInquiries@hpsm.org
Email confirmation sent by next business day
Provider Services
Toll free: 1-833-694-7761 Local: 650-616-2106
Monday 1:00 p.m. to 5:00 p.m. Tuesday–Friday 8:00 a.m. to 5:00 p.m.
Email: psinquiries@hpsm.org